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updated 5/4/2016
WALK TO EMMAUS SCHOLARSHIP APPLICATION
 ALL INFORMATION IS REQUIRED. SEE CURRENT SCHEDULE FOR DATES AND REGISTRATION FEES.
 IF APPLYING FOR A PILGRIM SCHOLARSHIP, THE PILGRIM FIRST NAME, LAST NAME, AND BIRTH DATE MUST MATCH
ON ALL 4 FORMS AND THE SPONSOR IS RESPONSIBLE FOR SEEING THE SCHOLARSHIP APPLICATION THROUGH THE
PROCESS ON BEHALF OF YOUR PILGRIM.
 PLEASE COMPLETE ON YOUR COMPUTER WHILE CONNECTED TO THE INTERNET, PRESS PRINT, AND THEN SUBMIT.
Guidelines and Procedures
Scholarships are available for Pilgrims, Conference Room Team members, and Servant Team members. All persons
wishing to receive a Scholarship for a Walk to Emmaus from the Greater Austin Emmaus Community (GAEC) must
submit this application to the GAEC Treasurer. If a Scholarship is requested, the GAEC recommends 1/3 of the costs be
paid by the Pilgrim or Team Member, 1/3 by the Sponsor/Church/Reunion Group, and 1/3 by Scholarship.
The GAEC Treasurer is authorized by the Bylaws: “Upon application, automatically give a 1/3 scholarship for any Pilgrim
from a GAEC Church going on a GAEC-sponsored Walk to Emmaus as long as there is a positive balance in the
Scholarship Fund.” The GAEC Board of Directors must vote on all other Scholarship Applications including requests for
more than 1/3 of the costs. The GAEC Treasurer will notify the Pilgrim’s Sponsor, the Conference Room Team member,
or the Servant Team member of the action taken.
WALK#: ______ Walk Date (mm/dd/yyyy): ______________ Cost: ____________ Location: ___________________
Pilgrim First Name: ________________ Last Name: ________________ Birth Date (mm/dd/yyyy): _________________
Requestor Information (Sponsor for a Pilgrim, Conference Room Team member, or Servant Team member)
First Name: _____________________________________ Last Name: _______________________________________
Address: ____________________________________
Home Phone: ____________________
City: __________
State: ____
Work Phone: ____________________
(none if the same as Cell Phone)
Zip+4: __________________
Cell Phone: ____________________
(none if the same as Home or Cell Phone)
E-Mail: ___________________________________________________________________________________________
Church Name & Address presently attending: ____________________________________________________________
Applicant Information (Pilgrim, Conference Room Team member, or Servant Team member)
Church Activities and Qualifying Attributes: ______________________________________________________________
General reason for request: __________________________________________________________________________
REGISTRATION CANCELLATION/CHANGE/REFUND POLICY:
All changes in Walk Registration must be submitted to the GAEC by e-mail or mail. Registration fees can be transferred
in full to another GAEC-sponsored Walk upon notification to the GAEC before Thursday at 6 pm of the start of the original
Walk. Full refunds minus a $25 processing fee may be issued to the original payer(s).
Requestor’s Signature: ________________________________ Date (mm/dd/yyyy): _________________
Mail this completed form to: GAEC Treasurer, 4006 Mayfield Cave Trail, Round Rock, Texas, 78681-1105
For office use only:
Scholarship request approved: Yes ______ No ______
Amount Approved: ____________________
Initials: __________
Date: ____________________________
Check #: _________________
Date: ____________________________